FNA – ASC Archived Cyto-econferences

Fine Needle Aspiration (FNA)

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rchive Item Code: 3700-L

Item Name:  Diagnosis of Primary Bone Neoplasms by FNA and Core Needle Biopsy: A Practical and Multidisciplinary Approach
Xiaohua Qian, MD, PhD

Presentation date: March 22, 2015; Expires: March 22, 2018
A practical and multidisciplinary approach to the diagnosis of various primary bone tumors will be presented. This case-based webinar will cover both common and uncommon entities, including osteogenetic, cartilaginous, giant cell-rich, and small round cell tumors. The importance of radiologic correlation and an awareness of diagnostic pitfalls will be emphasized. The webinar will be grounded in the current WHO classification of bone tumors and will incorporate an update on recent molecular advances in the field.


Archive Item Code: 3700-H

Item Name: Fine Needle Aspiration Cytology of the Kidney: Current Role, Morphological Analysis, and Diagnostic Dilemmas
Laura Tabatabai, MD

Presentation date: November 24, 2015; Expires: November 24, 2018
Renal fine needle aspiration biopsy has become a less common procedure in the era of advanced imaging techniques, however, it remains a useful diagnostic tool in selected clinical settings. In this webinar, the current role of renal FNA in the assessment and management of patients with kidney masses will be discussed. The cytomorphological criteria and differential diagnosis of select common and uncommon tumors of the kidney including diagnostic dilemmas and potential pitfalls will be presented, and updates and limitations in ancillary testing will be reviewed.


Archive Item Code:

Item Name: A Walk Around the Block
Donna K. Russell, MEd, CT(ASCP)HT

Presentation Date: May 26, 2015; Expires: May 26, 2018
Update your knowledge of body fluids and image-guided fine needle aspirations from a cytotechnology professional engaged in immediate assessment and specimen triage. The webinar will have you recognize the importance of cell block preparation. Radiologic findings, clinical history and cytologic criteria will be presented from a variety of contemporary image-guided techniques. Case studies from a variety of techniques will be discussed, along with ancillary testing. Techniques include endoscopic ultrasound-guided FNA, Super Dimension bronchial FNA, Cat-scan image-guided FNA and ultrasound-guided fine needle aspiration. This webinar will allow participants to interact with each case presented. The cases will include clinical history, radiologic findings and cytologic criteria. After the votes are in, the participants will then comment on the correct interpretation using an audience response system. The correct interpretation along with surgical pathology or additional ancillary testing will be provided for each case.


Archive Item Code: 3700-C

Item Name: The Challenge of Ensuring Adequacy in the Era of Targeted Lung Cancer Therapy
John M. Stewart, MD, PhD and Michael J. Thrall, MD

Presentation date: June 23, 2015; Expires: June 23, 2018
In recent years, therapeutic options for lung cancer have markedly expanded. While this offers new hope for patients, it also places an increasing burden on cytologists who now need to provide more information about the type of carcinoma they are examining while preserving cells for vitally important molecular ancillary testing. This webinar will provide insights into best practices for getting the most of limited cytology and small biopsy material. In particular, touch preparation triage of CT-guided biopsies, evaluation of cell blocks for molecular testing adequacy, and evaluation of endobronchial ultrasound-guided FNA material will be discussed.


Archive Item Code: 3600-C

Item Name: Pediatric Cytopathology: Common Entities and Diagnostic Dilemmas
Sara E. Monaco, MD

Presentation date: June 24, 2014; Expires: June 24, 2017
The webinar will be a practical review and discussion of selected cases in pediatric cytopathology; illustrating a variety of common and uncommon entities seen in young patients.  Each case will be presented with a review of the cytopathological findings, followed by the differential diagnosis and pitfalls to be aware of in children.  There will also be a discussion of the utility of different ancillary studies in select cases.  The cases will cover common infectious, lymphoid, and small round blue cell tumors that occur in pediatric cytopathology, in addition to uncommon entities that one should be aware of and consider in the differential diagnosis.


Archive Item Code: 3600-D

Item Name: FNA Biopsy of the Liver
Gladwyn Leiman, MD

Presentation date: July 22, 2014; Expires: July 22, 2017
This archive addresses the usual and some unusual hepatic lesions encountered in FNA.  Concentrating on primary HCC, the presentation will then compare that entity with the more frequent metastasis seen in the liver.  Unusual entities will be seen to assist in recognition of morphology rarely seen.  Finally, the more recent changes in immunocytochemical adjunctive studies will be mentioned, together with those circumstances in which molecular pathology impacts on collection of appropriate material obtained from liver FNA.


Archive Item Code: 3600-F

Item Name: Importance of Rapid On-site Evaluation (ROSE) for EUS-FNA: Endoscopist Observations and Pathologic Diagnosis
Benjamin L. Witt, MD
Douglas G. Adler, MD

Presentation date: September 23, 2014; Expires: September 23, 2017
This archive will begin with an overview of the literature on the impact of rapid on-site evaluation of EUS-guided pancreatic FNAs. A case-based discussion focusing on specimen triage and intra-procedural communication will follow. The cases will center on common entities and their inherent diagnostic challenges. Both the endoscopist’s and pathologist’s perspectives will be presented.


Archive Item Code: 3600-G

Item Name: Pancreatic Cysts Evaluated by EUS-FNA: Current Status
Michele D. Reid, MD, MS

Presentation date: October 28, 2014; Expires: October 28, 2017
This is an overview of the challenges and practical clues for the cytologic diagnosis of non-neoplastic and neoplastic cystic pancreatic lesions encountered in every day practice. The lecture will include a brief overview of pancreatic fine needle aspirations (FNAs) and endoscopic ultrasound guided-FNA, its associated pitfalls and limitations, as well as the cytopathologist’s role in rapid on-site evaluation and specimen triage. This will be followed by a detailed discussion of the most commonly encountered low- and high-risk pancreatic cysts. A review of the key cytologic and clinical features, with histologic correlation, and diagnostic terminology will be included. The cytologic features of low- and high-grade atypia in neoplastic mucinous cysts will be included. The judicious use and interpretation of ancillary studies in diagnosing and distinguishing pancreatic cysts from common mimics will also be discussed.


Archive Item Code: 3600-J

Item Name: New Approaches and Common Problems in Soft Tissue Neoplasms Diagnosed by FNA Biopsy
Paul E. Wakely, Jr., MD

Presentation date: January 27, 2015; Expires: January 27, 2018
This archive will provide a platform for the review of the cytopathology of some of the major soft tissue lesions in adolescents and adults using a case-based format. The discussion will cover the major categories of myxoid, small rounded cell, pleomorphic, and spindled lesions. It will include the diagnostic perils and differential diagnoses associated with this unfamiliar and infrequently explored sphere of FNA biopsy cytology.


Archive Item Code: 3600-K

Item Name: Telecytopathology: Opportunities and Challenges
Brian T. Collins, MD

Presentation date: February 24, 2015; Expires: February 24, 2018
Telecytopathology is an exciting and emerging digital image service involving technologies which enable the cytopathology service to provide on-site immediate interpretation of FNA biopsies. It is becoming easier to implement and deploy systems utilizing currently available hardware and software solutions. Growing demands on health care providers will encourage more efficient use of the time required for managing and evaluating FNA biopsies. The specific hardware and software solutions available will be discussed. Plans for acquisition, validation, implementation, and work flow considerations will be covered. An overview of the current state of the art will be provided.


Archive Item Code: 3600-L

Item Name: Diagnostic Difficulties in Pulmonary Cytology and Optimal Use of Ancillary Testing
Hormoz Ehya, MD

Presentation date: March 24, 2015; Expires: March 24, 2018
Major diagnostic difficulties in pulmonary cytology include the differential diagnosis of benign/reactive conditions versus carcinoma and classification of neoplasms.  The new targeted therapies require accurate classification of lung tumors. Improved survival in cancer patients has led to the increased occurrence of second and third primaries, necessitating the use of immunocytochemical stains to determine the primary source. Furthermore, the increasing need for molecular studies mandates prudent use of immunostains in order to conserve tissue. In this webinar the morphologic criteria to distinguish benign from malignant lesions and appropriate use of immunostains in the differential diagnosis of lung tumors will be discussed. 


Archive Item Code: 3500-L

Item Name: Fine Needle Aspiration Biopsy of Head and Neck Lesions with Update on Molecular Diagnostics
Vicky Y. Jo, MD

Presentation date: March 25, 2014; Expires: March 14, 2017
Head and neck FNA practice includes a heterogeneous group of lesions, including salivary gland neoplasms, cervical lymph node metastases, and soft tissue tumors. This webinar focuses on a differential diagnosis-based approach to head and neck FNAs, and includes discussion of the application of ancillary studies and recent molecular advances in the field of head and neck pathology.

Archive Item Code: 3500-H

Item Name: Thyroid Fine Needle Aspiration Biopsy: The Contribution of Case Review and Second Opinions
Patricia G. Wasserman, MD

Presentation date: November 26, 2013; Expires: November 26, 2016
Inter-institutional consultation in pathology has shown to improve patient safety by detecting interpretative errors that may significantly impact clinical management. Opponents have alleged increased costs due to this consultative practice without considering potential cost of surgical complications, litigation expenses and cost avoidance from lost wages. This webinar will review the mayor sources of discrepancies in thyroid aspirations and explain the clinical impact of second opinions. A review of molecular testing as an adjunct tool to subjective morphologic criteria will be summarized.


Archive Item Code: 3500-A

Item Name: Endobronchial Ultrasound Guided Fine Needle Aspiration: Evaluating the Lung and Mediastinum
Barbara E. Chadwick, MD

Presentation date: April 23, 2013; Expires: April 23, 2016
Endobronchial ultrasonography with transbronchial needle aspiration biopsy (EBUS-TBNA) is a minimally invasive technique, increasingly being used to sample paratracheal, hilar or mediastinal lymph nodes or mass lesions for staging or diagnosis. EBUS-TBNA consists of fine needle aspiration performed with the assistance of a bronchoscope with an integrated ultrasound probe, often followed by rapid on-site cytologic evaluation. This webinar discusses the indications and limitations of this technique, appropriate handling of the cytologic specimen, and cytomorphologic diagnoses commonly encountered in this context


Archive Item Code:  3400-A

Item Name:  Breast Cytopathology: Diagnostic Pitfalls
Amy Ly, MD

Presentation date: April 24, 2012; Expires: April 24, 2015
Breast FNA specimens may be diagnostically challenging and it can be tempting to diagnose “atypical” or “suspicious for malignancy.”  However, cytopathology is most useful if we can minimize the use of grey-zone diagnostic categories.  During this webinar, we will briefly review morphologic features of commonly encountered breast lesions.  We will then address how to distinguish between various specific diagnostic mimics in the context of a pattern-based approach.


Archive Item Code:  3400-F

Item Name: EUS-FNA of the Pancreas: Finer Points of a Thin Needle Point
Nirag Jhala, MD, MIAC

Presentation date: September 25, 2012; Expires:  September 25, 2015
This webinar will highlight areas of challenges and pitfalls to avoid on common EUS-FNA samples obtained from the pancreas. In addition, it will highlight salient morphologic features of common solid and cystic pancreatic lesions.  Furthermore, the webinar will also highlight differential diagnosis and where indicated how to judiciously use ancillary studies that could help to further confirm the diagnosis on these limited samples.


Archive Item Code: 3400-K                     

Item Name: Morphologic Assessment and Ancillary Testing of Primary Lung Carcinomas by Fine Needle Aspiration Biopsy
Rodolfo Laucirica, MD                       

Presentation date: March 26, 2013; Expires: March 26, 2016
This webinar will review the cytologic features and ancillary tools used to differentiate primary lung carcinomas.  We will also discuss the current status of molecular markers used for therapeutic decision making in non-small cell lung cancers assessed by fine needle aspiration biopsy.